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General NPI Number Information
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NPI Number | 1518019140
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Entity Type | Individual
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Provider Name | QUAN MINH TRAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 305 N MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92701-4852
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Country | US
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Telephone | 714-835-3599
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Fax | 714-835-0992
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Provider Business Mailing Address
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Address Line | 3639 W MYRA AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-4624
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Country | US
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Telephone | 714-928-4066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11964-TLG
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License Number State | CA
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